Differential effectiveness of explicit verbal feedback on children's communication skills

In order to specify by which combination of content and form dimensions the explicit verbal feedback comes to be most effective in enhancing communication skills, a training experiment was designed where both dimensions were factorially manipulated. Forty children (mean age, 5–10) were randomly assigned to one of four treatment conditions: Interrogative Cognitive feedback, Declarative Cognitive feedback, Interrogative Perceptual feedback, and Declarative Perceptual feedback. The Cognitive type of feedback specified the successive cognitive steps underlying the comparison activity whereas the Perceptual type of feedback stressed only the necessity of describing perceptual differences when communicating. These two contents of feedback were either provided by a set of standardized questions or of declarative statements, after each trial of a speaking training task. Subjects were given a pretest, and immediate and delayed posttests comprised of a speaking task and a listening generalization task. A 2 (Contents) × 2 (Forms) × 2 (Tasks) × 2 (Post-tests) analysis of variance showed that all subjects performed significantly better on the speaking task than on the listening generalization task and that subjects in the Interrogative Cognitive condition performed better than subjects in the three other conditions, on both post-test tasks. Results emphasize the mutual facilitating effects of the Interrogative Form and the Cognitive Content of explicit feedback and are discussed in terms of the generalization and stability of the induced learning.     

Labels and the Self: Identity Labels as Scaffold

This paper considers how labels may be used: “Neurodiverse,” “genderfluid,” “sex-positive,” “ADHD,” and “highly-sensitive” are just some of the labels that may be offered by patients in introducing themselves. Such labels can be thought of as shortcuts, a way to define identity and sum up a feeling state, attitude, or behaviour. While they may sometimes be “given” in the sense of a diagnosis, they are also “found” and self-adopted. Using scaffolding as a metaphor for allowing growth or development to take place (or compensate for its absence), the phenomenon of self-labelling is presented as fulfilling different functions, namely: Label as mirrored reflection; Label as creative defence; Label as something with which to play; Label as container for that which cannot yet be known; Label as calling something into being; and Label as collective dream image. The article starts with three brief composite clinical sketches, and goes on to explore some of the ways that labels may be used with reference to the presented clinical material.     

“There's more love between us”: The parental experience of attending Mellow Babies,a targeted,early intervention program for parents and their babies

It is recognized that parenthood in the context of psychosocial adversity can have negative implications for infant development. Parenting programs are the first line of intervention to improve outcomes for families; however, evidence for the effectiveness of group-based, targeted early interventions is still scarce. Preliminary findings indicate Mellow Babies (MB) as a promising group-based parenting program for families at risk for parenting difficulties. Using thematic analysis, we aimed to understand: (i) the aspects of the intervention that enabled parents to complete the program and (ii) the relational and behavioral changes perceived as valuable for parents and their babies post-intervention. In total, 68 parents residing in the United Kingdom were interviewed after completing MB (49 mothers and 19 fathers; 88% self-identified as British). Three themes and six subthemes were generated from the data. Parents identified several intervention components as beneficial, including the facilitators' interpersonal skills and multi-dimensional, group-based approach. Participant reflections highlighted three underlying mechanisms that enabled positive change: (i) the sense of community cultivated within the group, (ii) the process of formulating and re-conceptualizing one's difficulties, and (iii) the opportunity to reshape interpersonal interactions. Findings are discussed within the context of perinatal and infant mental health.     

Randomized controlled trial of a prenatal focused coparenting consultation for unmarried black fathers and mothers: One-year infant and family outcomes

In the infant mental health field, scant conceptual attention has been given to coparenting and family adaptations of non-white family systems, with no evidence-based, community-informed coparenting interventions responsive to unmarried Black mothers’ and fathers’ life circumstances. This study examined 1-year post-partum child and family outcomes of a novel, modest dosage (six sessions) prenatal focused coparenting consultation (FCC) using randomized controlled trial methodology. One-hundred-thirty-eight expectant families (one or both parents identified as Black/African American) were randomized to an intervention (N = 70) or treatment-as-usual (TAU; control) condition (N = 68). TAU families received navigational support in accessing existing community services for pregnant families. Intervention families received TAU plus 6 dyadic FCC sessions led by a Black male-female Community Mentor team. When infants were three and 12 months old, parents reported on coparenting, father engagement, interparental aggression, depressive symptoms, and infant social and emotional adjustment. Intent-to-treat analyses focusing on 12-month post-partum data indicated significant intervention effects on coparenting, interparental psychological aggression, and infants’ emotional adjustment. Improvement was also seen in depression and father engagement, with gains for both groups. Results suggest FCC delivered by same-race Community Mentors to unmarried Black coparents transitioning to parenthood supports infant and family adaptation during the first year of life.     

Type development in childhood and beyond

This article defines and explains type development across the lifespan and summarizes what other researchers have presented as a reference. A timeline for development is identified, and ways to differentiate development of a function from the development of other personality characteristics are described. Type development is about the dispersion of energy from an unconscious level to a managed conscious level. This development occurs in a spiral pattern, so development of each function occurs repeatedly but at higher levels of use and understanding each time. Although the dominant function develops most because of its innate drive to be the lead, each function can develop throughout the lifespan. The relative energy associated with each function always exists. When the energy is in the unconscious, it drives behavioural responses, but these are not within the individual’s control. The ideal is to develop the conscious awareness of each of the functions so each can be consciously used as needed to match a situation. Because development of the functions is essential, this article examines potential interferences with development and then offers some suggestions for ways to promote developmental opportunities.     

Rivers of milk and honey ‐ an exploration of nurturing the self in a Russian context

This paper is an exploration of the relationship between nurturing in all its contexts ‐ among them, the nursing couple and the therapeutic relationship ‐ and the evolution of an individual self. The ideas are illustrated by a case vignette of a Russian patient. An attempt is made to show that when the self as an integral unity of body and soul is addressed in the analytic setting, ‘nutritional dreams’ emerge as expressions of the self‐in‐action. Certain psycholinguistic features of the Russian cultural context are described which suggest a link of meaning between development of the self and secure parenting. This linguistic association may facilitate the process of self‐centering.     

Revisioning Fordham's ‘Defences of the self’ in light of modern relational theory and contemporary neuroscience

This paper explores the evolution of Michael Fordham's ideas concerning ‘defences of the self’, including his application of this concept to a group of ‘difficult’ adult patients in his famous 1974 paper by the same name. After tracing the relevance of Fordham's ideas to my own discovery of a ‘self‐care system’ in the psychological material of early trauma patients (Kalsched 1996 ), I describe how Fordham's seminal notions might be revisioned in light of contemporary relational theory as well as early attachment theory and affective neuroscience. These revisionings involve an awareness that the severe woundings of early unremembered trauma are not transformable through interpretation but will inevitably be repeated in the transference, leading to mutual ‘enactments’ between the analytic partners and, hopefully, to a new outcome. A clinical example of one such mutual enactment between the author and his patient is provided. The paper concludes with reflections on the clinical implications of this difficult case and what it means to become a ‘real person’ to our patients. Finally, Jung's alchemical views on transference are shown to be useful analogies in our understanding of the necessary mutuality in the healing process with these patients.